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Contact Information

RADICAL WELLNESS PLLC
4729 US-98 S
SUITE 104
LAKELAND, FL33812
 Phone: 813-444-7576
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RADICAL WELLNESS PLLC

NPI # 1033849815
LBN Legal business name RADICAL WELLNESS PLLC
Authorized official MEGAN CHERRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2022
Last updated 06/14/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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